Please complete the entire form below so that we may provide a faster response:
Name
Street Address
City
State
Home Phone
Cell Phone
Email Address
Dog's Name
Is This a purebred Boxer?
Dog's Birthdate or Age
Sex
Color
Ears Cropped or Natural?
Cropped("Cut")
Natural("Floppy")
Tail Docked or Natural?
Docked ("short")
Natural ("long")
Spayed or Neutered?
Up to Date on Rabies Shot?
Up to Date on Distemper Shot?
Heartworm tested within last year?
Dog have any current medical problems? If yes, explain.
Vet/Clinic Name used for last shots
Vet/Clinic City
Vet/Clinic Phone#
Where did you get your dog?
When did you get your dog?
Housebroken?
Crate Trained?
Good with other dogs?
Are there other dogs in your home? If yes, list breed, sex and age.
Good with Cats?
Are there cats in your home now?
Good with kids under 4 years?
Good with kids over 4 years?
Are there children in your home now? If yes, what ages?
Has this dog ever bitten a person? If yes, describe in detail
Ever bitten another animal? If yes, describe in detail.
Where does your dog stay during the day?
How many hours alone per day?
Where does your dog sleep at night?
Why are you considering giving up your dog?
Additional information we should know about your dog.
**PLEASE ALSO EMAIL OR TEXT PICTURES TO: juliescbr@gmail.com 207-272-7562